If your child or teenager has missing teeth, they could either be missing congenitally; meaning he/she was not born with them, or it could be impacted into the jaw bone and only visible through an radiography imaging (x-rays). A panoramic or cone beam CT scan may be taken to visualize the location of the impacted tooth or teeth. These teeth are usually exposed through a surgical procedure during the time of orthodontic treatment (tooth movement through braces and other orthodontic appliances). A chain is then attached to the tooth and anchored to the wire for activation by the orthodontist, and the gums are allowed to heal back to normal health. This will then allow the tooth to slowly move into the proper position and restore health and balance to his/her smile.